Incidence of cyclical bleeding after laparoscopic supracervical hysterectomy.

Jin, Keon

doi:2012.55.9.644

Original Article

Korean Journal of Obstetrics & Gynecology 2012;55(9):644-648.
DOI: https://doi.org/10.5468/KJOG.2012.55.9.644 Published online September 17, 2012.

Incidence of cyclical bleeding after laparoscopic supracervical hysterectomy.

Keon Jin

Department of Obstetrics and Gynecology, Dankook University College of Medicine, Cheonan, Korea. keonjin@dankook.ac.kr

Abstract

OBJECTIVE
To estimate the incidence of cyclical bleeding after laparoscopic supracervical hysterectomy (LSH) in women with uterine leiomyoma. METHODS: A questionnaire was sent to all patients who underwent LSH during 2007 and 2010 at the Department of Obstetrics & Gynecology, Dankook University Hospital. The questionnaire contained questions about experiences of persistency, regularity and amount of bleeding following surgery. RESULTS: A total of 94 patients who underwent LSH were sent a questionnaire. Seventy nine patients returned the questionnaire, providing a response rate of 84%. Three patients (3.7%) reported experiencing cyclic vaginal bleeding. All women who experienced persistent and regular periodic bleedings reported the amount of bleeding to be minimal. CONCLUSION: Overall incidence of post-LSH cyclical bleeding is relatively common. To reduce the occurrence of cyclical bleeding incidence, special attention should be paid to the careful management of cervical stump during surgery.

Key Words: Laparoscopic supracervical hysterectomy, Cyclical bleeding, Incidence